* Analyze the factors affecting the relationship between employees and health care organizations to determine which single factor is the most significant. Explain your reasoning.

The long-term economic success of healthcare organizations depends on the efforts of employees with the appropriate capabilities and motivation to perform their jobs well. Organizations that are successful over time have understood that individual relationships do matter and should be managed.(Flynn, Mathis & Jackson, 2011) The relationship between individuals and healthcare organizations is influenced by outside forces. Four of the biggest influences are economic changes, the expectations of different generations of individuals, loyalty, and changing career expectations for women. These factors affect the psychological contracts in a number of ways.(Flynn, Mathis & Jackson, 2011) All of these factors are just as significant and important but the only that I feel has the more impact is the loyalty. One important organizational value that affects employee loyalty is trust. Employees who believe that they can trust their managers, coworkers, and the organizational justice systems are much less willing to leave their current employers. According to a survey conducted by a nursing magazine, one of the top reasons given for RNs leaving their previous employers was a lack of trust and confidence in management. (Flynn, Mathis & Jackson, 2011)

Supportive learning and working environment are crucial factor for job satisfaction, especially in the field of nursing. An ageing population with an increasing number of patients suffering from chronic diseases are included in the factors affecting work environments negatively, resulting in dissatisfied employees. To improve the environment and prevent persistent employee dissatisfaction, Richer at al. (2009) suggested “appreciative inquiry” to create radical changes. Knowles (1990) reported that a supportive learning environment is considered to be a critical element of human resource development, and he acknowledged the need for the development of individual workers through improvements to the educational aspect.

Four of the biggest influences between employees and health care organizations are economic changes, the expectations of different generations of individuals, loyalty, and changing career expectations for women. All these factors play a significant role in the workplace and staff and leaders have to be cognizant of them. I believe the most significant in this relationship is the ever-changing economy, especially with the onset of the Affordable Care Act. The economy has been in a recession, and many organizations have had to cut their budgets to stay afloat. Personnel have been laid off, they have quit their jobs in healthcare to find a more stable job field, and providers have additional regulations that in turn change their practices. Healthcare is still appealing and a necessity, but the demands are becoming more and more stressful on employees. You absolutely need loyalty and managers and leaders can control it but they cannot control the economy hence why I believe it is more significant. You can’t control the difference in generations, but you can understand the differences and change the leadership style to accommodate those gaps. You cannot control the economy and it can drive substantial decisions that can be unfavorable

* From in the e-Activity, determine how well the health care organization you found is addressing the factor you identified in the first part of this discussion. Discuss additional steps the organization could take to do a better job.

Samaritan Medical Center is the largest hospital in the Watertown, New York area. It is a 294-bed community medical center. In order to retain their current employees Samaritan Full-time employees are eligible to participate after six months of employment and may be reimbursed up to $3,000 annually for tuition...

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